MANAGEMENT OF BARRETT'S ESOPHAGUS - CME Conferences

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3 rd Annual Essentials in Primary CareSummer Conference: Session 1Thursday, July 26, 2012MANAGEMENT OF HGD IN BE• Intensive surveillance (flat mucosa)–Repeat biopsies q3months for 1 year(i.e. “the hunt”)–Then, yearly if no cancer–Intervene when adenocarcinoma arises»Incidence @ 16% at 10 years(Sontag et al: Loyola)MANAGEMENT OF HGD IN BE• Esophagectomy–Operative mortality varies by center»8.1% if high volume (>19/year)»23% if low volume (50%Birkmeye. N Engl J Med 2002;346:1128-37Donald Castell, MDManagement of Barrett’s Esophagus
3 rd Annual Essentials in Primary CareSummer Conference: Session 1Thursday, July 26, 2012GERD TREATMENTGod put the esophagus in theback of the chest to keep itaway from surgeons.MANAGEMENT OF HGD IN BEEndoscopic Ablation of Barrett’s epitheliumSuppress Acid reflux (medical or surgical)Healing with squamous epitheliumDonald Castell, MDManagement of Barrett’s Esophagus
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MANAGEMENT OF BARRETT'S ESOPHAGUS - CME Conferences

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